Member Resources

Many of our member resources, such as the member handbook and forms, can be found on our secure portal.  Click Login to create an account and access a wide array of resources!

Member Handbook

• 2018 Ambetter Member Handbook

Reference Materials

• Coverage Information - Quick Tips
• Doctor's Office Visit Checklist - Use this checklist to get prepared for your next doctor's appointment.
• Preventive Services Guide
• Quality Improvement (QI) Program
• Referral and Authorization Information
• Statement of Non-Discrimination
• Where to go for Care
• Women's Health and Cancer Rights Act Annual Notice

Forms

• Authorization to Disclose Health Information Form
• Grievance and Appeals Form
• Member Reimbursement Medical Claim Form 
• Prescription Claim Reimbursement Form
• Transplant Reimbursement Form